Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 12-9

Performing Intermittent Closed

Catheter Irrigation

Goal:The patient exhibits the free flow of urine through the

catheter. Comments

1. Confirm the order for catheter irrigation in the medical
   record.


2. Bring necessary equipment to the bedside.


3. Perform hand hygiene and put on PPE, if indicated.


4. Identify the patient.


5. Close curtains around bed and close the door to the room,
   if possible. Discuss the procedure with patient.


6. Adjust bed to comfortable working height, usually elbow
   height of the caregiver (VISN 8 Patient Safety Center,
   2009).


7. Put on gloves. Empty the catheter drainage bag and meas-
   ure the amount of urine, noting the amount and character-
   istics of the urine. Remove gloves.


8. Assist patient to comfortable position and expose access
   port on catheter setup. Place waterproof pad under catheter
   and aspiration port. Remove catheter from device or tape
   anchoring catheter to the patient.


9. Open supplies, using aseptic technique. Pour sterile
   solution into sterile basin. Aspirate the prescribed amount
   of irrigant (usually 30 to 60 mL) into sterile syringe. Put
   on gloves.
   10.Cleanse the access port on catheter with antimicrobial
   swab.


10. Clamp or fold catheter tubing below the access port.


11. Attach the syringe to the access port on the catheter using
    a twisting motion. Gently instill solution into catheter.


12. Remove syringe from access port. Unclamp or unfold tub-
    ing and allow irrigant and urine to flow into the drainage
    bag.Repeat procedure, as necessary.


13. Remove gloves. Secure catheter tubing to the patient’s
    inner thigh or lower abdomen (if a male patient) with
    anchoring device or tape. Leave some slack in the catheter
    for leg movement.

ExcellentSatisfactoryNeeds Practice